15 A22-1. Herpetic esophagitis 6 years after subtotal gastrectomy - Valaciclovir 1,000mg 1 주처방함 Treatment for herpetic esophagitis is the same as other herpes simplex infections in the immunocompetent host, such as prompt initiation of a 7- to 10-day course of orally administered acyclovir or valacyclovir. Occasionally, severe odynophagia necessitates initial treatment with intravenous acyclovir, 250 mg/m2 every 8 hours and then changing to oral therapy when the patient can take oral medication. Given the relative rarity of esophageal involvement, however, no outcome data exist specifically on treating esophageal herpes simplex infection. Sleisenger textbook 2006
16 참고자료 : 보다전형적인 herpetic esophagitis
17 Q22-2. 소견과진단은?
18 A22-2. Diffuse large B cell lymphoma After chemotherapy
19 Q22-3. 소견과진단은?
20 A22-3. EGC Early gastric carcinoma 1. Location : lower third, Center at angle and posterior wall 2. Gross type : EGC type IIb 3. Histologic type : tubular adenocarcinoma, poorly differentiated 4. Histologic type by Lauren : diffuse 5. Size : 1x1 cm 6. Depth of invasion : invades mucosa (muscularis mucosae) (pt1a) 7. Resection margin: free from carcinoma, safety margin: proximal 3 cm, distal 5.5 cm 8. Lymph node metastasis : no metastasis in 37 regional lymph nodes (pn0) 9. Lymphatic invasion : not identified 10. Venous invasion : not identified 11. Perineural invasion : not identified 12. AJCC stage by 7th edition: pt1a N0
21 Q22-4. 소견과진단은?
22 A22-4. Acute diverticulitis
23 Q22-5. 소견과진단은?
24 A22-5. FAP with colon cancer Adenoma Symptom Cancer Death Feldman: Sleisenger's GI and Liver Disease, 7th:2002;p2199
30 A23-2. EGC Early gastric cancer 1. Location : lower third, Center at low body and greater curvature 2. Gross type : EGC type IIc 3. Histologic type : tubular adenocarcinoma, well differentiated 4. Histologic type by Lauren : intestinal 5. Size : 2.4x1.8 cm 6. Depth of invasion : invades mucosa (muscularis mucosae) (pt1a) 7. Resection margin: free from carcinoma, safety margin: proximal 5 cm, distal 5 cm 8. Lymphatic invasion : not identified 9. Venous invasion : not identified 10. Perineural invasion : not identified 11. Lymph node metastasis : no metastasis in 37 regional lymph nodes (pn0)
31 Q23-3. 소견과진단은?
32 A23-3. BGU 2 months later
33 Q23-4. 소견과진단은?
34 A23-4. Colon MALToma Dense infiltration of small lymphocytes with lymphoid follicle formation and multifocal lymphoepithelial lesions, suggestive of EXTRANODAL MARGINAL ZONE LYMPHOMA OF MALT
35 Q23-5. 소견과진단은?
36 A23-5. Solitary rectal ulcer syndrome Chronic benign condition Characterized by single or multiple shallow ulcers surrounded by a hyperemic margin Located in the majority of cases on the anterior or anterolateral rectal wall Not all cases are associated with ulceration Polypoidal or patchy granular hyperemic lesions have been described.
37 A23-5. Solitary rectal ulcer syndrome Endoscopic findings shallow ulcer with a white base surrounded by a rim of erythematous mucosa size : a few milimeters to several centimeters broad-based polypoidal lesions : 25% patchy granular or velvety hyperemic mucosa : 18%
71 A26-4. Mesenteric phlebosclerosis 만성복통으로내원하신 70대여자입니다. 내시경과 CT 후 mesenteric phlebosclerosis는 chronic ischemic colitis를일으키는원인미상의드문질환으로진단되었습니다. 내시경에서는궤양과함께꺼무접접한점막으로관찰되었습니다 (Rectum쪽은정상이었음 ). Imaging 에서는 right colon의 vessel에 linear calcification이보였습니다. Dis Colon Rectum 2003;46:209-20에보고된 7 증례에대한기술을요약하면아래와같습니다. All seven patients had calcifications in the small mesenteric veins and their intramural branches. No evidence of vasculitis or portal hypertension was recognized. Clinical findings included abdominal pain and diarrhea of a gradual onset and chronic course. A positive fecal occult blood test and mild anemia were often found. The patients had linear calcifications and stenosis in the right colon, which were discovered by plain abdominal radiography and barium enema, respectively. Endoscopic findings included edematous, dark colored mucosa and ulcerations. Four patients underwent a subtotal colectomy because of persistent abdominal pain or ileus. The histopathologic findings were macroscopically characterized by a dark purple or dark brown colored colonic surface, the swelling and disappearance of plicae semilunares coli, and marked thickening of the colonic wall, while they were microscopically characterized by marked fibrous thickening of the venous walls with calcifications, marked submucosal fibrosis, deposition of collagen in the mucosa, and foamy macrophages within the vessel walls.
72 Q26-5. Rectum. 소견과진단은?
73 A26-5. Rectal neuroendocrine tumor 1. Name of Procedure: transanal endoscopic microsurgery 2. Site of Tumor: rectum 3. Diagnosis: Neuroendocrine tumor 4. WHO classification(2010): Neuroendocrine tumor(g2) 5. Multiplicity: Single 6. Size: 0.8x0.6 cm 7. Extent: Proper Muscle (pt2) 8. Grading: Mitotic Count(/HPF): 0-1, Ki-67 labeling index: G2 3-20% 9. Resection Margins: Negative AJCC stage: stage IIA (pt2 N0 M0)
79 A27-2. SM cancer 1. Location : lower third, Center at antrum and lesser curvature 2. Gross type : EGC type IIa+IIc 3. Histologic type : tubular adenocarcinoma, moderately differentiated 4. Histologic type by Lauren : intestinal 5. Size : 1.6x1 cm 6. Depth of invasion : invades submucosa (sm3) (pt1b) 7. Resection margin: free from carcinoma 8. Lymph node metastasis : metastasis to one out of 31 regional lymph nodes (pn1) 9. Lymphatic invasion : present 10. Venous invasion : not identified 11. Perineural invasion : not identified 12. AJCC stage by 7th edition: pt1b N1
80 Q27-3. 위암환자의복강경입니다. 소견과진단은?
81 A27-3. 무증상공단검진내시경에서발견된위암 (signet ring cell carcinoma) 환자의 diagnostic laparoscopy 에서발견된복막의 seeding nodules
82 Q27-4. 십이지장입니다. 소견과진단은?
83 A27-4. 브루너샘과형성 Brunner's gland hyperplasia (Johann Conrad Brunner, , Swiss anatomist) is the hypertrophy of tubuloalveolar glands in the submucosal layer of the duodenum. They are most numerous in the duodenal bulb proximal to the pyloric canal and their number decreases gradually in the second and third part of the duodenum. They are not usually present in the jejunum or the ileum. It has been reported that their number increases in patients with cystic fibrosis, uraemia and Zollinger Ellison syndrome. Hyperplasia of Brunners glands probably represents a response of the duodenal mucosa to peptic ulcer disease.
111 A29-5. Transplant-Associated Thrombotic Microangiopathy (TA-TMA) Nasal diffuse large B cell lymphoma 로항암치료를받고관해 상태중 acute hepatitis B with toxic hepatitis 로 living related liver transplatation 을받은분입니다. 설사로대장내시경을하 였고 "From D-colon to S-colon, several longitudinal ulcers with submucsal heamorrhage, edematous margin was noticed" 의소견이었으며조직검사는 "Suggestive of thrombotic microangiopathy with multifocal ischemic change" 로보고되었습니다. 진단은 Transplant-Associated Thrombotic Microangiopathy (TA-TMA) 로생각되었습니다. TA-TMA 의소견은 ischemic colitis 와유사할수있다고합니다.
123 A30-5. Blue rubber breb nevus syndrome A rare disorder that consists mainly of abnormal blood vessels affecting the gastrointestinal tract by William Bean in 1958 a venous malformation, formerly, though incorrectly, thought to be related to the hemangioma skin, small bowel, distal large bowel >> brain, liver, muscle
124 Blue rubber breb nevus syndrome Fishman, S. J. Annals of Surgery 241(3) 2005
125 Blue rubber breb nevus syndrome Clinical manifestations presents soon after birth. Melena, hematochezia, intussusception, hemothorax, hemopericardium, pul HTN, dementia, paraparesis, ataxia Genetic link?? It may be associated with TEK tyrosine kinase. Medical treatment: iron supplementation, steroids, interferon, octerotide Treatment modalities for GI lesion: laser photocoagulation, band ligation, and polypectomy
부울경소화기내시경학회 6월집담회 고신대학교복음병원소화기내과전임의서광일 F/63 CASE C.C) epigastric pain for 2 wks P. I) 2014.04.16 EGD at LMC adm via OPD for further evaluation. P. Hx) CASE HTN/DM/Hepatitis/Tbc (+/+/-/-) S. Hx) N-S ROS)
내시경입문자를위한식도질환 성균관대학교의과대학내과이준행 Mucosa of the normal esophagus Second physiologic narrowing 대동맥궁과좌기관지에의해형성되는 2-3 cm 부위를통칭 25 cm : 대동맥궁 27 cm : 좌측기관지 cf> 35 cm : 좌심방 정상식도내경 2.5 cm Indentations of the esophagus
2015.03.04 부울경소화기내시경지회 Intramucosal gastric cancer: The rate of lymph node metastasis in signet ring cell carcinoma was as low as that in welldifferentiated adenocarcinoma 인제대부산백병원 소화기내과 지삼룡 Signet ring
Gastro intestinal lymphomas R3. 정세진 정의 GI lymphoma introduction 위장관및이와관련된배액부위림프절에국한, 간이나비장및기타림프절침범이없고, 단순흉부촬영상이정상, 말초혈액검사의백혈구가정상인경우. Extranodal lymphoma 69.6% GI lymphoma 29.22% Kim JM, WHO Classification
The Korean Journal of Pathology 2005; 39: 106-13 위암병리보고서기재사항표준화 김우호 박철근 김영배 김윤화김호근 배한익 송규상 장희경장희진 채양석 대한병리학회소화기병리학연구회 A Standardized Pathology Report for Gastric Cancer Woo Ho Kim, Cheol Keun Park, Young
Comparison of Laparoscopy and Exploration in the Distal Pancreatectomy BACKGROUND: To determine the benefits of laparoscopic surgery compared with exploration, the clinical outcomes of open and laparoscopic
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I. Workshop 결과에대한설문조사결과 A. 종양의행태 (behavior) 코드부여에이견이있는소화기계암에대한설문조사결과 Organ or Subject Stomach Colon Diagnosis 응답자수 ( 총 240 명 ) Low grade adenoma/dysplasia 230 10 0 1 2 3 6 무응답 High grade adenoma/dysplasia
6 3 2000 ; 387-392 (3) Dysplastic Nodule Young Nyun Park, M.D., Chanil Park, M.D. Department of Pathology, Yonsei University College of Medicine BRIEF HISTORY 56. AST/ALT 72/73 IU/L, total bilirubin 0.7
Important findings to be observed in endoscopic examination of GERD patients 성균관대학교의과대학내과이준행 오늘의소주제 Personal key question과내시경교육 식도의내시경해부학 Hiatal hernia 큰, sliding, paraesophageal, interpretatation GERD와
21 1999.., slide film video tape, color printer. database,.. database.. Maratka 1984 OMED (Orgarnization Mondiale d' Endoscopie Digestive, World Society of Digestive Endoscopy) terminology OMED.. (European
위선종 / 이형성 Gastric adenoma/dysplasia Jun Haeng Lee. Department of Medicine Sungkyunkwanuniversity School of Medicie, Seoul, Korea Dysplasia in Barrett s esophagus Ideally, the management of a disorder is
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case of brugada syndrome presented as chest pain STRCT rugada syndrome was described in 1992 as a new clinical entity characterized by electrocardiographic STsegment elevation in the right precordial leads
Surgical Extent and Types in Pancreatic Cancer Song Cheol Kim, M.D. Department of Surgery, Ulsan University College of Medicine & Asan Medical Center, Seoul, Korea Pancreatic cancer continues to pose a
Special Issue Diabetic Retinopathy Won Ki Lee, M.D. Department of Ophthalmology The Catholic University of Korea College of Medicine Kangnam St. Mary s Hospital E mail : firstname.lastname@example.org Abstract R
Grade I Grade II Grade III 12 대한혈관외과학회지 : 제 20 권 제 1 호 2004 Control Group A Group B Fig. 4. Microscopic findings of vein wall in control, group A and group B on the day of 7 after venous occlusion. The
개원의와함께하는임상강좌 2011 역류성식도질환제대로이해하기 Division of Gastroenterology, Department of Internal Medicine, Kyung Hee University College of Medicine, Seoul, Korea Jae-Young Jang, M.D., PhD. 개원의와함께하는임상강좌 2011 109 최신치료
Towards Global Eminence Renal Cancer Kidney Transplant JIA LEE College of Nursing Science Kyung Hee University 1 Contents Kidney Cancer Risk factor Symptom Diagnosis Treatment Nursing Kidney Transplantation
Patient number Sex Age Animal contact 1 F 36 No 2 F 31 Cat scratch Result of biopsy/aspiration cytology of lymph nodes Chronic granulomatous inflammation with caseation necrosis, compatible with tuberculous
18.01.02 topic review Hiatal hernia Barrett's esophagus IM R3 송주혜 Endoscopic anatomy of EGJ Esophagogastric junction (EGJ) = Proximal margin of gastric folds = Distal end of palisade zone Squamocolumnar
Invasive Ductal Carcinoma Arising from Axillary Accessory Breast Tae Wan Kim, Sang Wook Kang, Ji Young Park 2, Seung Sang Ko 1, Min Hee Hur 1, Hae Kyung Lee 1, Sung Soo Kang 1, and Jee Hyun Lee 1 Department
Volume 12, Number 1, 92~102, An Intervention Study of Pain Reduction during IV Therapy in Hospitalized Children Myo-Jin Kim 1), Joung-Hae Bak 1), Won-Seok Seo 2) Mi-Young Kim 3), Sun-Kyoung Park 3), Jai-Soung
K O R E A C E N T E R S F O R D I S E A S E C O N T R O L & P R E V E N T I O N PHWR Vol. 5 No. 41 www.cdc.go.kr/phwr 2012 10 12 5 41 ISSN:2005-811X Comparison of drug-susceptibility test to the anti-tuberculosis
531 김민지 외: 미숙아에 발생한 의인성 식도천공과 기종격증 및 종격동염 A B C D E F Fig. 1. Chest radiographs and CT scans of a premature infant. Chest radiograph at 6 days after birth (A) shows left paravertebral radiolucency at the
: 59 2 2000 Carcinoid 1, *, * = A bs tra c t= A cas e of carcinoid tumor of ampulla of v ater pres enting as as thmatic s y mptoms Sok Kyun Hong, M.D., Im Hw an Roe, M.D., Myung In Lee, M.D., Sang Hyun
Application of New Pathogenesis on the Drug Treatment of Diabetes Young Seol Kim, M.D. Department of Endocrinology Kyung Hee University College of Medicine & Hospital E mail : email@example.com Abstract
cdna Microarray Experiment: Design Issues in Early Stage and the Need of Normalization Byung Soo Kim, Ph.D. 1, Sunho Lee, Ph.D. 2, Sun Young Rha, M.D., Ph.D. 3,4 and Hyun Cheol Chung, M.D., Ph.D. 3,4 1
직장암환자의전직장간막절제술의 예측인자분석 : 불완전절제와절제시간에영향을미치는인자에관한연구 Analysis of Factors Affecting the Degree of Difficulty in Total Mesorectal Excision for Rectal Cancer: Investigation of the Factors Affecting Incomplete
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Proposed Korean guideline for the diagnosis of BPH Hyun Woo Kim The Catholic University of Korea BPH Guideline AHCPR guideline on BPH (1994) AUA guideline on BPH (2003) EAU guideline on BPH (2004) International
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DOI: 10.3857/JKSTRO.2008.26.2.113 노령의 피부암에서 방사선치료 계명대학교 의과대학 동산의료원 방사선종양학교실 김 진 희 목 적: 노령의 피부암에서 방사선치료 후 국소 제어률, 생존율, 실패양상, 부작용을 알아보기 위해 이 연구를 시행 하였다. 대상 및 방법: 1990년 1월부터 2002년 10월까지 계명대학교 동산의료원 방사선종양학과에서
ABO Rh A study on the importance of ABO and Rh blood groups information in Public Health 2000 2 1 ABO Rh A study on the importance of ABO and Rh blood groups information in Public Health 2000 2 2 ABO Rh
Focused Issue of This Month Gyu Cheol an, MD Department of Otolaryngology ead & Neck Surgery, Gachon University of College Medicine E - mail : firstname.lastname@example.org Won-o Jung, MD Department of Otolaryngology
Name: Preliminary Medical Examination (Female) 문진표(여성) 1. Have you ever suffered from or been treated for below diseases for more than 3 months? 과거에 다음과 같은 질병으로 3개월 이상 앓았거나 진단(치료)을 받은 적이 있습니까? 1 diabetes
J Korean Surg Soc 2010;79:S26-30 DOI: 10.4174/jkss.2010.79.Suppl1.S26 증 례 위수술기왕력이없는환자의심낭종성위염에서발생한위암 아주대학교의과대학외과학교실 김준영ㆍ허훈ㆍ조용관ㆍ한상욱 Gastric Cancer Associated with Gastritis Cystica Profunda in Patients without
The Korean Journal of Hepatology 2007 ; 13 : 571-575 DOI: 10.3350/kjhep.2007.13.4.571 이번 호의 간 병리(32) 혼합 간세포-담관세포암종 순천향대학교병원 병리과 진윤미 진소영 Combined Hepatocellular-cholangiocarcinoma Yoon-Mi Jeen, M.D. and
ECG & EP CASES Young-Keun On, MD, PhD Division of Cardiology, Department of Medicine Cardiac & Vascular Center, Samsung Medical Center Sungkyunkwan University School of Medicine, Seoul, Korea A case of
Colorectal Polyps : Endoscopic Diagnosis and Polypectomy Seung Taek Oh, M.D. Department of General Surgery The Catholic University of Korea, College of Medicine Kangnam St. Mary's Hospital E mail : email@example.com
The Korean Journal of Pathology 2006; 40: 193-203 대장암병리보고서기재사항표준화 장희진 박철근 김우호 김영배김윤화 김호근 배한익 송규상장미수 장희경 채양석 대한병리학회소화기병리학연구회 A Standardized Pathology Report for Colorectal Cancer Hee Jin Chang, Cheol Keun
Received : 2012. 11. 27 Reviewed : 2012. 12. 10 Accepted : 2012. 12. 12 A Clinical Study on Effect of Electro-acupuncture Treatment for Low Back Pain and Radicular Pain in Patients Diagnosed with Lumbar
2012 MARFPR Vol.92 0304 World Best Safety, Global INHA 2012. 03+04 C O N T E N T S Mar.Apr Vol.92 02 04 06 09 12 14 16 18 20 22 24 27 28 30 31 32 33 38 04 2012_ Mar + Apr 05 06 2012_ Mar + Apr 07 08 2012_